HomeMy WebLinkAboutOnufrak, PeterELIZABETH A. NEVILLE, RMC, CMC
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
TO:
FROM:
DATED:
RE:
Carol Hydell, Southold Town Clerk's Office
June 10, 2010
Cesspool Construction Application
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Southold Town Building Department ii/:~~
Transmitted herewith is a copy of application No.
Permit submitted by:
Peter Onufrak
3958 for a Cesspool/Septic Tank Construction
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me. Thank you.
Carol Hydell
I have reviewed the application and location map of the project cited above and make the following
recommendations: /
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
Signature / [ ." ~
Dated ~, ~/gP
ELIZABETH A. NEVilLE '.'~
TOWN CLERK
REGISTHAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMEN~ OFFICER
FREEDOM OF INFOP~IATION OFFICER
.~Town Hall, 5309§ Main I~
P.O. Box 1179
8outhold, NewYork 119;
F~x (631) 765-614§
'Pelephone (631) 765-180
sou tholdtown,northfork.n
2010
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DIST_~CT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10
Applicant Name
__ or Non-Residential ~ $25__
Applicant Mailing Address { .%"o o ./k/,q,/z ~ _< /~,'~
Septic Tank or Cesspool ·
Brief Description of Proposed Construction or Alteration~/~f£ ~u
Application No. _l~d
Pennit No.
Location of Proposed Construction/Alteration:
Owner of Property: ~ "~,-
Owner Mailing Address: [%--~0
Owner Property Address:
Name md phone nmber of ~nmct person
T~ Map No: Section //~ Block ~ ~t /, /
Cross 8 =ct f,
NOTE: LOCATION~ ~STBE S~D W~H ~PLICATION. ~W
, ~e~fA~plic~t/ t ~ate
~' LAND NOW OR FORMERLY
f COUN~ OF SUFFOLK VACANT
N ~17'OT"E 31773 ........ ~
-'- ~' "'-'"' =~ I '
S 64'17'07"W 317.73'
,, IMPROVED ~ ~ ~ ~
,, SERVICED BY PUBL
,/ / / ~
/ / ~
/ / m
/ SANITARY SYSTEM CROSS SECTION/ ~
,
~ ~ ~, ~ ~ ~;"~ S.C.D.~.s. ~DO~S~NTS
~ G~'" GLORIA A GRECO-ONUFRAK
ELEVATION
S SHO~ HEREON REFER m FILED MAP ~ ' '
AND ARE PER CONtoUR LINES AND ELEVATIONS
FROM ~E RVE ~STERN TOWNS TOPOGRAPHIC MAPS JOB NO. 201G1 ~5
TEST HOLE ~f MAP NO.: 11735
ALLOWABLE CL~RING: 28,000 SD. FT. = 35 % OA~Ka~ E~:~.O' RLED: JANUARY 8,2010
~NO~ REVISIONS:
WET~NDS F~GS AS SHO~ ARE FROM FILED MAP CO~M
~.5' ADD SAN. CX ~1~10
AND WERE P~CED BY THE N. Y.S.D.E.C. PALE.ROWNstLW
~ ~LOT 1 ~'~
: MAP OF
~ ~ ETER P. & GLORIA A. ONUFRAK
- SITUA
~ ~ ~ < LICENSE NO, 050363
~ ~ ~ MA TTITUCK
~ ~ TOWN OF SOUTHOLD HANDS ON SURVEYING
~ ~ sUWOLK COU~,NEW YORK ~ S/L VER ~ROOK DR/W
~ S.C.T.M. :DIST. IO00SEC. 114BLK. 05LOT01 F~NDERS, NEWYORK
~ ~ , I~ ~ ~ , , ~ ~ ~ I 11901
.25 13 0 25 50 75 100 125 150 175 200 225 TEL: (631)-369-8312 - F~:(631)-369-8313
SCALE: I" = 50' DATE: MARCH 17, 2010 MARTIN D. HAND L.S
' PLOTP~N PREPARED FROM OFFICE RECORDS